Ilyse Bloom, LLC
NPI 1053107359 · Marriage & Family Therapist · Boulder, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ilyse Bloom, LLC is a Marriage & Family Therapist organization in Boulder, CO (NPI 1053107359).
Provider details
- NPI number
- 1053107359
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Ilyse Bloom, Owner(303) 931-8492
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Ilyse Bloom
- Other name
- Ilyse Bloom, Lmft
Registry dates
- Enumerated
- 2025-04-15
- Last updated
- 2025-04-25
- Certified
- 2025-04-25
Frequently asked questions
- What is Ilyse Bloom, LLC's NPI number?
- Ilyse Bloom, LLC's National Provider Identifier (NPI) is 1053107359, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ilyse Bloom, LLC?
- Ilyse Bloom, LLC is classified in the NPPES registry as Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Ilyse Bloom, LLC located?
- Ilyse Bloom, LLC's practice location on file with NPPES is 3100 Arapahoe Ave Ste 101, Boulder, CO 80303-1050.
- What is Ilyse Bloom, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ilyse Bloom, LLC is (303) 931-8492.
- Does Ilyse Bloom, LLC accept Medicare?
- Ilyse Bloom, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ilyse Bloom, LLC?
- The authorized official listed on Ilyse Bloom, LLC's NPPES record is Ilyse Bloom, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ilyse Bloom, LLC's NPI active?
- Yes — Ilyse Bloom, LLC's NPI (1053107359) is active in the NPPES registry as of the last update on 2025-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.